need helpful suggestions!!!

[n40066]

my son has rapid cycling bipolar.  he is also an addict.  he was clean only 3 or 4 weeks and he stole some of my pain meds.  i keep them with me at all times and they are usually locked in my car...i had turned my back on my purse for only a moment....his life is his music and they had a big show scheduled this past friday.  on monday he was forced to fire the drummer.  he was working so hard to train the new guy, when the bassist decided to quit.  he was devastated!!!  kept talking of this being the end, he was too old to start over.  he's only 23!  he calmed down enough to do the show, but he is a perfectionist and felt it was a complete failure.  friday is the same night he stole and took my pills.  he is pushing his fiancee' away, even took back her ring.  but she is refusing to leave him, thank God!  he is soo angry and volital right now.  i keep trying to get him to talk to me or go to the hospital.  he just screams the usual obscenities and slams a door in my face.  long story, but they found a kitten in the middle of all this and he's treating it like a lifeline.  i understand that, however, we are in my parents house this weekend while they are out of town and they have a no cat, no exception rule.  when i found it in his room this morning, i got upset and said i was going to take it to a friends house.  he came outside to where i was at that point, grabbed the kitten and started twisting her neck!!  when i reached for her, he threw her on the ground, gave me the devils stare and without a word, went back to his room.  i told him if he didn't come out and talk to me, that he was forcing me into a situation that i would have to call someone to take him to the hospital so he could get the help he needs.  this has been going on since 12 today.  he is now totally complacent and withdrawn.  he will not speak to me at all.  i don't believe he has any other drugs with him at this time.  i have checked on him twice.  the last time he was asleep, but rolled over and looked at me when i pushed thru the barracade he had against the bedroom door.  my brain is telling me to call in the dogs, my heart and a past experience when he was 15 (just prior to bp dx) tells me to hold off, let him cool down, then try again to talk to him.  i know you are not drs.  but those of you who suffer with this dreaded disorder, i hope will have some suggestions to guide me.
thanks in advance.  

[n40066]

thank you.  i will try anything.  it's helpful to hear from others that have bipolar because as we both know, no one understand the truest depths of the disease unless they too have it!  thank you for your advice and support.  when he wakes up, perhaps i'll just see if he wants something to eat and wait for him to break the ice and open up.  but i don't think he will.  i have a feeling he will stay locked up in his room until his girl comes home tonight, then bail.  but i can hope and i can pray.  and i can not be confrontational. thank you, friend.

[ILADVOCATE]

The best thing to do is to encourage him in a supportive and non confrontational way to go to the hospital and let him know that it will help him with his recovery and his life will improve from there but it would depend on what his level of self awareness is at now as to whether that would work as when a person is psychotic their level of self awareness can drop to the point where they don't understand they help but its always worth trying.

[n40066]

thank you so much for responding!  i was about to give up!  he has locked my number on his phone, so i can't call/text him.  should have never given him that blackberry!!!  but to be honest, didn't know that could be done until today.  when his girl gets home from work, i'll have her bring me the phone to take the block off.  there is noone here but me, as my brother took my folks away for the weekend to celebrate father's day.  as i said, though, he is sleeping now.  i just don't know how to get him to open up to me anymore.  he has shut me completely out!!  on friday, he made an appt to see a phy. on wed.  i just want to be able to keep him alive until then.  he is in such a hopeless state of depression and feels his life holds no value or worth.  is there anything that i can say or do that might get thru to him or help bring him around?

[ILADVOCATE]

I would think at this point the first step is to speak to him from a safe distance (such as over the phone) and encourage him to go to the hospital. You should also have other family members and friends support this decision and encourage him as well. If not (and this would be a last resort but it might be needed) he might need to be hospitalized involuntarily and there are specific outreach teams that could be of help in this regard.

[n40066]

by the way...he LOVES animals.  all animals, but especially kittens.  i know in his right mind, he would never dream of hurting one!!  about an hour after that happened, he came back out and got her and took her back in his bedroom.  last time i looked in, she was sleeping on his chest.